Failure of Cervical Arthroplasty in a Patient with Klippel-Feil Syndrome
Author Information
Author(s): Papanastassiou Ioannis D, Baaj Ali A, Dakwar Elias Eleraky, Mohammad Vrionis, Frank D. H. Lee
Primary Institution: H. Lee Moffitt Cancer Center and Research Institute, University of South Florida College of Medicine
Hypothesis
Cervical arthroplasty may be justified in patients with Klippel-Feil syndrome to preserve cervical motion.
Conclusion
Cervical arthroplasty in patients with Klippel-Feil syndrome can lead to catastrophic failure due to unique biomechanical challenges.
Supporting Evidence
- The patient developed adjacent segment disease after previous spinal fusion.
- Postoperative complications included dysphagia and hoarseness.
- Revision surgery was required due to migration and extrusion of the prosthesis.
Takeaway
A woman with a neck condition had surgery to help her neck move better, but the surgery didn't work and she had to have another operation.
Methodology
The patient underwent two-level cervical arthroplasty followed by revision surgery due to device failure.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 36-year-old woman with Klippel-Feil syndrome.
Digital Object Identifier (DOI)
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